Local Control and Analgesic Efficacy of Percutaneous Cryoablation for Desmoid Tumors.

Abstract:

OBJECTIVE:Cryoablation is being more and more often used to treat desmoid tumors. We report our experience of cryoablation as a local and analgesic treatment for inoperable or recurring desmoid tumors. METHODS:This study includes 34 patients who underwent percutaneous cryoablation of 41 desmoid tumors between July 2012 and September 2016. All patients underwent pain assessment using a visual analog scale (VAS) and preoperative imaging. All cryoablation procedures were performed using the same cryoablation system. Patients received clinical and radiological follow-up at 6 months post-procedure, with pain-rating and adverse events being recorded. A long-term follow-up was achieved until 31 December 2018. Disease-free survival at 3 years was also recorded. Radiological tumor response was determined by tumor measurements using RECIST 1.1. RESULTS:Twelve patients benefitted from curative treatment on 100% of the tumor volume, but 22 patients received debulking treatment because of the risk of neighboring structures. Two patients had a postoperative hematoma grade 2 of the CIRSE classification system for complications, and two patients had grade 4 complications involving palsy of the common fibular nerve. Disease-free survival at 3 years was 42.2%. The mean VAS pain scores were 5.7 and 2.4 at pretreatment and 6 months, respectively, showing a mean reduction of 3.3 (p < 0.001). At 6 months, all measured tumor dimensions were significantly lower than pretreatment. CONCLUSION:Cryoablation is an effective therapeutic option for the local treatment and for the analgesic management of desmoid tumors.

authors

Bouhamama A,Lame F,Mastier C,Cuinet M,Thibaut A,Beji H,Ricoeur A,Blay JY,Pilleul F

doi

10.1007/s00270-019-02323-5

subject

Has Abstract

pub_date

2020-01-01 00:00:00

pages

110-119

issue

1

eissn

0174-1551

issn

1432-086X

pii

10.1007/s00270-019-02323-5

journal_volume

43

pub_type

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